HomeMy WebLinkAbout07-22-11 (3)INVENTORY
REGISTER OF WILLS OF
COMMONWEALTH OF PENNSYLVANIA } SS
couNTY of Cumberland }
CUMBERLAND
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File Number 21-10-11096
Roseanna M. Kempf
Personal Representative(s) of the Estate of Charles A. Myers
deceased, depose(s) and say(s) that the items appearing in the following inventory include all of the personal assets wherever
situate and all of the real estate in the Commonwealth of Pennsylvania of said Decedent, that the valuation placed opposite each
item of said inventory represents its fair value as of the date of the decedent's death, and that Decedent owned no real estate
outside of the Commonwealth of Pennsylvania except that which p ars in a m m andum at the end of this inventory.
I verify that the statements made in this Inven- ~ ~j,,,",,,,,^ ~ . ~ ~- J ~ -- J /
tory are true and correct. I understand that false state- ~ Roseanna M. K~mp
ments herein are made subject to the penalties of
18 Pa.C.S. § 4904 relating to unsworn falsification to
authorities.
Attorney -- (Name) James D. Bogar (Supreme Court I.D. No.) 19475
(F~rm) Bogar & Hipp Law Offices
(Address) One West Main Street, Shiremanstown, PA
(Telephone) 717-737-8761
DATE OF DEATH LAST RESIDENCE 3520 Chestnut Street DECEDENT'S SOC. SEC. NO.
10/02/2010 Cam Hill PA 17011 189-18-5700
FIGURES MUST BE TOTALED
Personal Property
Cash ...............................................................................................
Personal Property ........................................................................
Stocks/Listed ................................................................................
Stocks/Closely Held .....................................................................
Bonds ............................................................................................
Partnerships and Sole Proprietorships .....................................
Mortgages and Notes Receivable ...............................................
All Other Property ........................................................................
Total Personal Property ........................................
Total Real Property ................................................
7,519.88
1,648.00
9,167.88
113,900.00
Total Personal and Real Property ........................
123,067:88
NOTE: The Memorandum of real estate outside the Commonwealth of Pennsylvania may, at the election of the personal representative include the value of each
item, but such figures should not be extended into the total of the Inventory. (See 20 Pa. C.S. § 3301(b))
Form RVV-09 Rev. 70-13-2006
INVENTORY
REGISTER OF WILLS OF
CUMBERLAND COUNTY, PENNSYLVANIA
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
DATE OF DEATH LAST RESIDENCE
10/02/2010
~b
File Number 21-10-1096
3520 Chestnut Street DECEDENTS SOC. SEC. NO.
Camp Hill, PA 17011 189-18-5700
AARP -Refund
M&T Bank -Checking Account No. 62557521; date of death balance $6,916.03; accrued
interest $0.04.
Senior Health Care Insurance Company -Life Alert Refund
U.S. Treasury -Refund
U.S. Treasury -Refund of VA Co-Pay
Verizon -Refund
Total Cash
Personal Pronert:v
Personal Property -Sold at Auction (See Attached Invoice).
Personal Property -Per attached Appraisal. Please note, items sold at auction have
been removed from this total.
Total Personal Property
38.59
6,916.07
455.53
40.00
24.00
45.69
7,519.88
428.00
1,220.00
1,648.00
(Attach additional sheets if necessary) Total Personal Property and Real Estate 123,067.8
REGISTER OF WILLS OF
INVENTORY
CUMBERLAND
COMMONWEALTH OF PENNSYLVANIA } SS
COUNTY OF Cumberland }
DATE OF DEATH LAST RESIDENCE 3520 Chestnut Street
10/02/2010 Camp Hill, PA 17011
COUNTY, PENNSYLVANIA
File Number 21-10-10'96
DECEDENTS SOC. SEC. NO.
189-18-5700
Real Estate -All that certain piece or parcel of real estate having thereon Erected a 113,900.00
dwelling house known and numbered as 3520 Chestnut Street, Camp Hill, Pennsylvania
17011. The property was acquired by Charles A. Myers and Anna M. Myers, husband
and wife, by Deed dated May 10, 2001 and recorded May 15, 2001 in the Cumberland
County Recorder of Deeds Office in Deed Book 244, Page 644. A copy of :said Deed is
attached hereto and incorporated herein. The said Anna M. Myers died February 26,
2007, whereupon full and complete title to the within described real estate+ became
vested solely in Charles A. Myers, surviving spouse, the Decedent herein. The property
was sold pursuant to an Agreement of Sale dated June 16, 2011, a copy o~f which is
attached hereto and incorporated herein. Settlement occurred on July 1;i, 2011.
Copies of the Settlement Statement and the Deed transferring the property are attached
hereto and incorporated herein. The sale price was $113,900.00.
Total Real Estate 113,900.00
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